Shergill Arvind K, Wang David C, Thipphavong Seng, Zlotta Alexandre R, Jaffer Nasir
Joint Department of Medical Imaging, Mount Sinai Hospital, Toronto, ON.
Division of Urology, Princess Margaret Hospital, University of Toronto, Toronto, ON.
Curr Probl Diagn Radiol. 2019 Mar-Apr;48(2):161-171. doi: 10.1067/j.cpradiol.2018.02.001. Epub 2018 Feb 6.
Urinary diversions are surgical procedures that reconstruct the lower urinary tract following cystectomy. The 2 common surgical approaches are based on the continence status of the urinary tract. Incontinent diversions have continuous urine drainage through a cutaneous stoma, whereas continent diversions offer the patient the ability to self-void either via stoma catheterization or with the patient's own urethra. Given the large number of diversion procedures available, postsurgical anatomy may be complex. Multiple imaging modalities can be used to assess the postprocedural anatomy, potential complications, and for on-going oncologic monitoring. The purpose of this review is to describe the common surgical techniques and associated complications.
尿流改道术是在膀胱切除术后重建下尿路的外科手术。两种常见的手术方法基于尿路的控尿状态。失禁性尿流改道术通过皮肤造口持续引流尿液,而可控性尿流改道术使患者能够通过造口插管或利用自身尿道自主排尿。鉴于可用的尿流改道手术种类繁多,术后解剖结构可能很复杂。多种成像方式可用于评估术后解剖结构、潜在并发症以及进行肿瘤学监测。本综述的目的是描述常见的手术技术及相关并发症。